Condition: Refractory Primary-cutaneous Large B-cell Lymphoma (Leg-type) · Sponsor: University Hospital, Bordeaux
In spite of high initial response rate after a first line treatment by R-polychemotherapy, cutaneous but also extra-cutaneous recurrences occur after 2 years in about half of the patients with PCBCL-LT. Thereafter there is no consensus concerning patients care: radiotherapy has only a palliative effect, advanced age often limits using more aggressive chemotherapies and no treatment has demonstrated a prolonged efficacy in these relapsing cases. Therefore new alternatives therapeutic options are needed. Lenalidomide has an antineoplastic pro-apoptotic effect but also immunomodulatory, and antiangiogenic properties. Preliminary results suggest its efficacy in relapsing or refractory diffuse large B-cells lymphomas, especially of nongerminal cells phenotype. By analogy with these results, lenalidomide appears as an attractive candidate in PCLBCL-LT, more specially as it has a manageable toxicity even in advanced age patients. If the lenalidomide efficacy is confirmed in relapsing PCLBCL-LT, this will plead its evaluation as maintenance therapy after R-chemotherapy in order to avoid recurrences.
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| CHU Amiens, Hôpital Sud | Amiens, France | — |
| CHU Besançon, Hôpital Saint-Jacques | Besançon, France | — |
| AP-HP Hôpital Avicenne | Bobigny, France | — |
| AP-HP Hôpital Ambroise Paré | Boulogne-Billancourt, France | — |
| CHU de Clermont-Ferrand, Estaing | Clermont-Ferrand, France | — |
| AP-HP Hôpital Henri Mondor | Créteil, France | — |
| CHU de Dijon, Le Bocage | Dijon, France | — |
| CHU de Grenoble | Grenoble, France | — |
| CHU de Lille Hôpital Claude Huriez | Lille, France | — |
| Centre Léon Bérard | Lyon, France | — |
| AP-HM Hôpital Nord | Marseille, France | — |
| CHRU de Montpellier Hôpital Saint-Eloi | Montpellier, France | — |
+ 12 more locations — full list on the registry record.
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